# UPPER LEFT PHYSICAL THERAPY AND SPORT PERFORMANCE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174481857
- **Authorized official:** DUSTIN ZINK (OWNER)
- **Authorized official phone:** (325) 642-6132

## Contact information

- **Practice address:** 3136 SE 63RD AVE, PORTLAND, OR 97206-1902
- **Practice address phone:** (325) 642-6132
- **Mailing address:** 3136 SE 63RD AVE, PORTLAND, OR 97206-1902
- **Mailing address phone:** (325) 642-6132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2026
- **Last updated:** 01/12/2026